Posts for: June, 2014
As a Pro Football Hall of Famer and first runner up on the hit television show Dancing with the Stars, Jerry Rice has a face and smile that truly has star quality. However, that was not always the case. During an interview with Dear Doctor magazine, the retired NFL pro discussed his good fortune to have had just a few minor dental injuries throughout his football career. He went on to say that his cosmetic dentist repaired several of his chipped teeth with full crowns. Rice now maintains his beautiful smile with routine cleanings and occasional tooth bleaching.
If you have chipped, broken or missing teeth, or are considering a smile makeover, we want to know exactly what you want to change about your smile, as the old adage is true: Beauty is in the eyes of the beholder. This is one reason why we feel that listening is one of the most important skills we can use during your private, smile-makeover consultation. We want to use this time to ensure we see what you see as attractive and vice versa so that together we can design a realistic, achievable blueprint for your dream smile.
For this reason, we have put together some questions you should ask yourself prior to your appointment:
- What do you like and dislike about the color, size, shape and spacing of your teeth?
- Do you like how much of your teeth show when you smile and when your lips are relaxed?
- Are you happy with the amount of gum tissue that shows when you smile?
- Do you prefer a “Hollywood smile” with perfectly aligned, bright white teeth, or do you prefer a more natural looking smile with slight color, shape and shade variations?
To learn more about obtaining the smile you want, continue reading the Dear Doctor magazine article “Great Expectations — Perceptions In Smile Design.” Or you can contact us today to schedule an appointment so that we can conduct a thorough examination and discuss your cosmetic and restorative dentistry treatment goals. And if you want to read the entire feature article on Jerry Rice, continue reading “Jerry Rice — An Unbelievable Rise To NFL Stardom.”
If your teeth are not as bright as they used to be, or as white as you'd like them to be, then whitening or bleaching them may be the solution. Surface stains from coffee, tea, red wine or tobacco may be the most likely culprits. Internal staining can also be the result of root canal treatments, large fillings, too much of a good thing, like fluoride — or just plain aging. In some cases taking an antibiotic (tetracycline) during tooth development can cause permanent staining. In most cases bleaching stained or yellow teeth can really make a difference, helping to make them brighter and whiter.
The active ingredient in whitening products is hydrogen peroxide, which is also the breakdown product in carbamide peroxide. If a good regular dental cleaning doesn't remove your stains, then these products can bleach stains that are either superficial (on the surface) or deeper within the tooth structure. “In office” professional tooth whitening speeds the process along with the use of specialized lights or lasers, so that your teeth will whiten after only one or two office visits. Professional whitening or bleaching, which uses up to 35% peroxide solutions, may cause transient tooth sensitivity, but this will fade away quickly within a few days. Gum protection is also necessary to prevent irritation.
The effects of bleaching usually last six months to a year, at which time all that may be necessary is a minor touch up or refresher. And your whiter, brighter teeth will last longer if you avoid the habits that caused them — like avoiding smoking and foods that cause staining.
Whitening products for home use are an alternative to professional whitening systems that we apply in the office. Products for home use have a lower concentration of the active bleaching ingredients. We can make you custom fitted “trays” that exactly fit your teeth, and provide you with home strength whiteners, so that you can whiten at your own pace and stop at the brightening level of your choice.
And finally there are over-the-counter (OTC), whitening products, at even lower strengths for safety, but they are slower to work.
If whitening doesn't give you the smile you want, and deserve, then you may need to consider veneers or crowns to improve your smile.
Make an appointment to have a consultation with us about your personal cosmetic needs. We will review all the risks, benefits and alternatives to bleaching. You can learn more about teeth whitening by reading the Dear Doctor magazine article “Teeth Whitening: Bleaching is an effective method with minimal side effects.”
Many people view a tooth extraction (removal) as a major ordeal; but from a dentist’s standpoint it’s a routine procedure. That’s not to say, though, that all extractions are alike — there are varying levels of complexity depending on the type, size and location of the tooth.
Teeth are held in place to the jawbone by a tissue known as the periodontal ligament, whose collagen fibers attach the tooth to the bone of the jaws. By gently manipulating the tooth, we can release the hold that these fibers have on the tooth. This takes not only skill but also a kind of “feel” that comes with experience.
From that point, removing the tooth will depend on its root structure and how it’s positioned in the jaw. Upper front teeth have a single, straight root usually shaped like a cone; their path of removal is relatively straight and uncomplicated. Many teeth in the back, however, have more than one root, and not as straight in shape as an upper front tooth, that complicates the path of removal. Depending on the level of complication, the extraction may require an oral surgeon, a dental specialist.
After the tooth is extracted, it may be necessary to fill the socket (the area of the bone once occupied by the tooth) with some form of grafting material that will encourage bone growth. This new growth will aid with any future plans for dental implants.
After the procedure, we will give you instructions for cleaning and caring for the extraction site as you recover over the next few days. We may also prescribe medications to help you cope with discomfort and swelling, as well as antibiotics and antibacterial mouth rinses.
Before undertaking any extraction, we would first conduct a thorough examination and provide you with your options and our recommendations for treatment. We would also discuss your options for replacing the teeth after theyâ??ve been extracted.
The thought of having an extraction may fill you with anxiety. But in the hands of an experienced professional, removing a tooth is a routine and safe procedure.
If you would like more information on tooth extractions, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Simple Tooth Extraction?”
All children encounter sickness as they grow; thankfully most of these conditions are relatively mild and fade away in short order. But some children endure more serious, longer lasting conditions. The health of children with chronic diseases can be impacted in numerous ways, including the health of their teeth and gums.
Unfortunately, dental care is often pushed to the side as caregivers understandably focus on the primary disease. In addition, many chronic conditions involving behavior, such as autism, attention deficit and hyperactivity disorder (ADHD) or intellectual disabilities, may inhibit the child’s ability to cooperate with or even perform daily oral hygiene. Many special needs children have an acute gag reflex that makes toleration of toothpaste, spitting matter from the mouth, or keeping their mouths open more difficult. However difficult it may be, though, it’s still important to establish daily hygiene habits to reduce the risk of tooth decay and gum disease.
There are techniques for building a daily routine for children with physical and behavioral limitations. For example, using “modeling and shaping” behavior, you (or perhaps a sibling) brush your teeth with your child to demonstrate how it should be done. If there’s a problem with cooperation, you can also position the child “knee to knee” with you as you brush their teeth. In this way you’ll be able to meet their eyes at a level position and lessen the chance of a confrontation.
We encourage all children to have their first dental visit before their first birthday. This is especially true for children with chronic conditions. The Age One visit helps establish a benchmark for long-term care; it then becomes more likely with regular visits to discover and promptly treat dental disease. This is especially important for special needs children who may have congenital and developmental dental problems, like enamel hypoplasia, a condition where the teeth have not developed sufficient amounts of enamel.
Teeth are just as much at risk, if not more so, in children with chronic diseases. Establishing daily hygiene and regular checkups can reduce that risk and alleviate concern for their long-term oral health.
If you would like more information on oral healthcare for children with chronic diseases, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Managing Tooth Decay in Children With Chronic Diseases.”